38. A client has returned to the unit from surgery after having an arteriovenous (A-V) fistula created in the left arm. The client's teaching should include:
Select all that apply.
38. A client has returned to the unit from surgery after having an arteriovenous (A-V) fistula created in the left arm. The client's teaching should include:
Select all that apply.
. Protecting site by wearing an elastic sleeve.
. Squeezing a ball to increase vessel size.
. Expecting fistula to be used for the next dialysis treatment.
. Avoiding BP or drawing of blood samples from left arm.
. Ensuring clothing fits loosely over left arm.
Test-Taking Tip
Since Answer 5 is correct, then Answer 1 is incorrect, because it is important to select an option that prevents constriction of the fistula and promotes development of the site.
Content Area: Adult Health, Vascular; Integrated Process: Nursing Process, Planning; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Reduction of Risk Potential/Potential for Complications from Surgical Procedures and Health Alterations
. . .
Answer 1 is incorrect because this would impair blood flow through the fistula and potentially damage the fistula. Answer 2 is correct because exercise increases the vessel size to better accommodate the large-bore needles used in hemodialysis. Answer 3 is incorrect because the fistula does not mature sufficiently to use for at least 14 days. Answer 4 is correct because the arm should be reserved only for dialysis. Measuring BP or drawing blood may lead to fistula damage. Answer 5 is correct because tight or constricting clothing will impair blood flow through the fistula and cause loss of patency.